Skip to main content
Übersichtsarbeit

Bildgebung in der Mammadiagnostik – Früherkennung, Screening und Problemlösung

Published Online:https://doi.org/10.1024/0040-5930.65.4.187

Brustkrebs stellt die häufigste Krebserkrankung und Krebstodesursache der Frau in den industrialisierten Ländern dar. Allein in der Schweiz gibt es pro Jahr etwa 5000 Neuerkrankungen. Sinnvoll eingesetzt, stehen uns mit Mammographie, Sonographie und Kontrastmittel-MRT drei potente bildgebende Untersuchungsverfahren im Dienste der Früherkennung, des Screening und der Problemlösung bei unklaren Befunden an der Brust zur Verfügung.

In the industrialised countries breast cancer is the cancer with the highest prevalence and causes the highest rate of cancer deaths among women. In Switzerland alone, about 5000 newly diagnosed cases occur per year. Our three main diagnostic tools in imaging diseases of the breast in the setting of screening, early detection or problem solving are mammography, ultrasound and MRI with intravenous contrast application. The most important imaging technique is mammography, which as only method has shown evidence to be suitable for screening so far. As a major accomplishing imaging tool there is sonography, which in women under 30 years of age is the first method of choice in examination of the breasts. The MRI is able to provide additional information about the perfusion of tissue changes within the breast, because of its low specificity, however, it should cautiously be applied for specific questions.